Provider Demographics
NPI:1447634068
Name:PATEL, HERAL DHARMESH (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:HERAL
Middle Name:DHARMESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7475 NC HWY 22
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327
Mailing Address - Country:US
Mailing Address - Phone:910-949-2071
Mailing Address - Fax:910-949-2064
Practice Address - Street 1:7475 NC HWY 22
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327
Practice Address - Country:US
Practice Address - Phone:910-949-2071
Practice Address - Fax:910-949-2064
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist